arXiv subjects

Caizhi Liao

Publications and source records attributed to Caizhi Liao.

6 recordsLinked to original sources

arXiv2026

TRACE: Tractable Routing Autoencoder for Clinical ECG

Deep learning has advanced automated electrocardiogram (ECG) diagnosis, but the field's most accurate models, foundation models pretrained on millions of recordings, are not decision-pathway auditable: a clinician cannot trace a diagnosis to a physiological pathway or intervene on one. We propose TRACE, a Tractable Routing Autoencoder for Clinical ECG, whose 32-dimensional clinical latent space is specified in advance from domain knowledge rather than discovered by optimization. TRACE partitions this space into perfusion, structure, and conduction subspaces, routes each to its own diagnostic head by design, regularizes the partition with an orthogonality penalty, and reconstructs the ECG through a decoder that permits latent perturbation. On PTB-XL and Georgia, TRACE exceeds unconstrained classifiers and stays ahead of an ECG foundation model pretrained on ten million recordings, evaluated by linear probe on frozen features, at roughly an eighth of the parameter count. On the nine-label CPSC2018 cohort, which carries no structural class, the framework transfers with only the routing table re-specified to a perfusion/rhythm/conduction partition. Joint probe, erasure, and perturbation analyses verify the routing contract, and perturbing the depolarization and repolarization pathways modulates the reconstructed waveform. Removing the specified partition and its orthogonality penalty costs 1.70 AUC and 11.30 macro-F1 points on PTB-XL, and 2.76 AUC and 16.92 macro-F1 points on Georgia. A capacity-matched permutation control places arbitrary assignments within 0.34 AUC points of the ontology routing and leaves macro-F1 statistically level (p=0.619): the ontology supplies decision-pathway auditability at no macro-F1 cost.

cs.LG↗

arXiv2026

BEAT-Net: Injecting Biomimetic Spatio-Temporal Priors for Interpretable ECG Diagnosis

Automated electrocardiogram diagnosis using deep learning remains limited by signal-agnostic representations that treat multi-lead recordings as undifferentiated time-series or images, forcing models to rediscover physiological structure implicitly. This leads to data inefficiency, poor generalization, and opaque decision boundaries misaligned with clinical reasoning. We present BEAT-Net, a supervised biomimetic framework that integrates QRS-centered biological tokenization with a hierarchical architecture mirroring the cardiologist's workflow. A QRS tokenizer converts continuous signals into semantically complete heartbeat sequences, which are processed through four specialized stages: morphological feature extraction via a Word Encoder, lead-invariant normalization through a Spatial Operator, temporal context injection by a Temporal Operator, and global reasoning using a Transformer-based Sentence Encoder. Evaluated across three large-scale benchmarks including PTB-XL, CPSC2018, and CSN, BEAT-Net achieves diagnostic accuracy of 0.924 AUC, comparable to dominant CNN baselines at 0.925 AUC, while reducing parameters by 95 percent from 2.06 million to 0.7 million. Critically, BEAT-Net surpasses the 39.5-million-parameter foundation model HeartLang on morphological Form classification, reaching 0.901 AUC compared to HeartLang's 0.832 AUC, while attaining full CNN-level performance using only 35 percent of training data and exhibiting superior cross-dataset generalization. Learned attention patterns spontaneously align with established clinical heuristics, demonstrating that explicit physiological structure provides a more efficient and interpretable alternative to massive pre-training for clinical deployment.

cs.LG↗

arXiv2026

LiteMedCoT-VL: Parameter-Efficient Adaptation for Medical Visual Question Answering

The reasoning gap between large and compact vision-language models (VLMs) limits the deployment of medical AI on portable clinical devices. Compact VLMs of 2-4B parameters can run on resource-constrained hardware but lack the multi-step reasoning capacity needed for interpretable clinical decision support. Existing knowledge distillation methods transfer answers without the reasoning process behind them. Medical visual question answering (VQA) serves as a testbed for this problem, as it requires models to integrate visual evidence with clinical knowledge through structured reasoning chains. We introduce LiteMedCoT-VL, a pipeline that transfers chain-of-thought reasoning from a 235B teacher model to 2B student models through LoRA-based fine-tuning on explanation-enriched training data. All inference is conducted without image captions by default, simulating the clinical scenario in which a physician interprets a medical image directly without an accompanying radiology report. On the PMC-VQA benchmark, LiteMedCoT-VL achieves 64.9% accuracy, exceeding the zero-shot Qwen3-VL-4B baseline of 53.9% by 11.0 percentage points and outperforming all published baselines. This result indicates that a 2B model with reasoning distillation can match or exceed models with twice the parameters. Visual grounding analysis shows that the model relies on image content rather than exploiting textual priors. Our code is publicly available at https://github.com/R4nzer/LiteMedCoT-VL.

cs.CV↗

arXiv2025

CPR: Causal Physiological Representation Learning for Robust ECG Analysis under Distribution Shifts

Deep learning models for Electrocardiogram (ECG) diagnosis have achieved remarkable accuracy but exhibit fragility against adversarial perturbations, particularly Smooth Adversarial Perturbations (SAP) that mimic biological morphology. Existing defenses face a critical dilemma: Adversarial Training (AT) provides robustness but incurs a prohibitive computational burden, while certified methods like Randomized Smoothing (RS) introduce significant inference latency, rendering them impractical for real-time clinical monitoring. We posit that this vulnerability stems from the models' reliance on non-robust spurious correlations rather than invariant pathological features. To address this, we propose Causal Physiological Representation Learning (CPR). Unlike standard denoising approaches that operate without semantic constraints, CPR incorporates a Physiological Structural Prior within a causal disentanglement framework. By modeling ECG generation via a Structural Causal Model (SCM), CPR enforces a structural intervention that strictly separates invariant pathological morphology (P-QRS-T complex) from non-causal artifacts. Empirical results on PTB-XL demonstrate that CPR significantly outperforms standard clinical preprocessing methods. Specifically, under SAP attacks, CPR achieves an F1 score of 0.632, surpassing Median Smoothing (0.541 F1) by 9.1%. Crucially, CPR matches the certified robustness of Randomized Smoothing while maintaining single-pass inference efficiency, offering a superior trade-off between robustness, efficiency, and clinical interpretability.

cs.LG↗

arXiv2025

SCAR: Semantic Cardiac Adversarial Representation via Spatiotemporal Manifold Optimization in ECG

Deep learning models for Electrocardiogram (ECG) analysis have achieved expert-level performance but remain vulnerable to adversarial attacks. However, applying Universal Adversarial Perturbations (UAP) to ECG signals presents a unique challenge: standard imperceptible noise constraints (e.g., 10 uV) fail to generate effective universal attacks due to the high inter-subject variability of cardiac waveforms. Furthermore, traditional "invisible" attacks are easily dismissed by clinicians as technical artifacts, failing to compromise the human-in-the-loop diagnostic pipeline. In this study, we propose SCAR (Semantic Cardiac Adversarial Representation), a novel UAP framework tailored to bypass the clinical "Human Firewall." Unlike traditional approaches, SCAR integrates spatiotemporal smoothing (W=25, approx. 50ms), spectral consistency (<15 Hz), and anatomical amplitude constraints (<0.2 mV) directly into the gradient optimization manifold. Results: We benchmarked SCAR against a rigorous baseline (Standard Universal DeepFool with post-hoc physiological filtering). While the baseline suffers a performance collapse (~16% success rate on transfer tasks), SCAR maintains robust transferability (58.09% on ResNet) and achieves 82.46% success on the source model. Crucially, clinical analysis reveals an emergent targeted behavior: SCAR specifically converges to forging Myocardial Infarction features (90.2% misdiagnosis) by mathematically reconstructing pathological ST-segment elevations. Finally, we demonstrate that SCAR serves a dual purpose: it not only functions as a robust data augmentation strategy for Hybrid Adversarial Training, offering optimal clinical defense, but also provides effective educational samples for training clinicians to recognize low-cost, AI-targeted semantic forgeries.

eess.SP↗

arXiv2024

A deep learning-enabled smart garment for accurate and versatile sleep conditions monitoring in daily life

In wearable smart systems, continuous monitoring and accurate classification of different sleep-related conditions are critical for enhancing sleep quality and preventing sleep-related chronic conditions. However, the requirements for device-skin coupling quality in electrophysiological sleep monitoring systems hinder the comfort and reliability of night wearing. Here, we report a washable, skin-compatible smart garment sleep monitoring system that captures local skin strain signals under weak device-skin coupling conditions without positioning or skin preparation requirements. A printed textile-based strain sensor array responds to strain from 0.1% to 10% with a gauge factor as high as 100 and shows independence to extrinsic motion artefacts via strain-isolating printed pattern design. Through reversible starching treatment, ink penetration depth during direct printing on garments is controlled to achieve batch-to-batch performance variation < 10%. Coupled with deep learning, explainable artificial intelligence (XAI), and transfer learning data processing, the smart garment is capable of classifying six sleep states with an accuracy of 98.6%, maintaining excellent explainability (classification with low bias) and generalization (95% accuracy on new users with few-shot learning less than 15 samples per class) in practical applications, paving the way for next-generation daily sleep healthcare management.

eess.SP↗